Individual
JESSICA LYNN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8712 NW 14TH AVE, VANCOUVER, WA 98665-6910
(808) 220-6720
Mailing address
8712 NW 14TH AVE, VANCOUVER, WA 98665-6910
(808) 220-6720
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
200841042RN
OR
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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